Federal Supervision Rule/Opt-Out Information

 
Final Federal Supervision Rule:  
PDF version of Federal Register

April 19, 2002 Update:
Frequently Asked Questions about the November 13, 2001 Final Supervision Rule


Gubernatorial Opt-Out Letters

  • Iowa (December 2001)
  • Nebraska (February 2002)
  • Idaho (March 2002)
  • Minnesota (April 2002)
  • New Hampshire (June 2002)
  • New Mexico (November 2002)
  • Kansas (March 2003)
  • North Dakota (October 2003)
  • Washington (October 2003)
  • Alaska (October 2003)
  • Oregon (December 2003)
  • Montana (January 2004)
    (Gov. Judy Martz opted-out; Gov. Brian Schweitzer reversed the opt-out in May 2005, without citing any evidence to justify the decision. Subsequently, after the governor and his staff became more familiar with the reasons justifying the January 2004 opt-out, Gov. Schweitzer restored the opt-out in June 2005. Montana’s opt-out, therefore, is currently in effect.)
  • Montana Re-Opt-Out Letter 
  • South Dakota (March 2005)
  • Wisconsin (June 2005)
  • California (effective July 17, 2009)
  • Colorado (September 2010) (For Critical Access Hospitals (CAHs) and specified rural hospitals) 
  • Kentucky (April 2012)
     
Support Letters
Iowa
Nebraska

New Mexico
 
 
Press Releases
Kentucky
 
April 27, 2012
 
 
 
 
Montana
Governor Martz Removes Physician Supervision for Montana's Nurse Anesthetists
January 26, 2004 (Gov. Judy Martz opted-out; Gov. Brian Schweitzer reversed the opt-out in May 2005, without citing any evidence to justify the decision. Subsequently, after the governor and his staff became more familiar with the reasons justifying the January 2004 opt-out, Gov. Schweitzer restored the opt-out in June 2005. Montana’s opt-out, therefore, is currently in effect.)
 
 
 
 
 
Kansas
Governor Sebelius Removes Physician Supervision Requirement for Nurse Anesthetists
March 31, 2003
 
 
 
 
 
 

Previously on the Supervision Rule Issue
 
Read the text of the July 5 Proposed Rule (66 FR 35395-99, 7/5/01), which "would amend the physician supervision requirement for Certified Registered Nurse Anesthetists furnishing anesthesia services in hospitals, critical access hospitals, and ambulatory surgical centers that participate in the Medicare and Medicaid programs." This rule is not good for patients, healthcare facilities, state government, or CRNAs. The January 18 "final" rule, which defers to the states on the regulation of CRNAs and is at risk of being replaced by the July 5 proposed rule at the end of the current comment period, recognizes states' rights, addresses the needs of facilities for staffing flexibility, and ensures access to anesthesia services for all Americans.
 
 
Final Rule November 13, 2001 Press Release :
Administration Puts Politics Before Patients; Implements Cumbersome Anesthesia Care Rule